Patients' and physicians' attitudes and perception about asthma in the Gulf: A subset analysis from the Asthma Insights and Management Survey in the Gulf and Russia

2021 ◽  
Vol 42 (3) ◽  
pp. e77-e85
Author(s):  
Ashraf Alzaabi ◽  
Majdy Idrees ◽  
Naser Behbehani ◽  
Fatima Salah
Keyword(s):  
Asthma Control ◽  
United Arab Emirates ◽  
Action Plan ◽  
Asthma Management ◽  
Lung Function Test ◽  
Gulf Region ◽  
Subset Analysis ◽  
Gulf Countries ◽  
Asthma Attack ◽  
And Behavior

Background: Asthma is a prevalent disorder in the Gulf region. However, available data concerning asthma control and patients' perception with regard to their disease are still insufficient. Objective: To investigate patients' perception and behavior with regard to the asthma-related burden, the level of asthma control, and asthma management in three Gulf countries. Methods: This study presented a subset analysis of the Asthma Insights and Management survey about the asthma burden and management in the Gulf region and Russia. In this subset analysis, we retrieved the data of the patients from Saudi Arabia, United Arab Emirates, and Kuwait. Results: The current survey's population was composed of 452 patients. One hundred fifty-four patients (34.1%) rated themselves as having poorly controlled asthma, whereas 60.3% of the patients perceived their asthma as completely or well controlled. However, only two patients (0.4%) had controlled asthma according to the global asthma guidelines criteria for asthma control. Most of the patients (67.7%) reported that their asthma got worse when outdoors. Almost 70% of the patients on daily control plus a quick relief regimen reported that their asthma got worse when they were outdoors. Over the past 12 months, 95 patients (21%) reported asthma exacerbation. More than half of the included patients experienced an asthma attack that stopped their activities, whereas 54.2% of the patients were forced to leave work or school due to an asthma attack, and 53.1% had to cancel an appointment or had to go to bed due to the severity of the attack. With concern to asthma management, only 30.5% of the patients were given a lung function test for the assessment of their asthma. A written action plan for asthma treatment was developed by the physician or the practice nurse for only 21.7% of the patients. Conclusion: In the Gulf region, asthma exerts a substantial burden on patients who are affected. Such a burden significantly impacted patients' quality of life.

HERITAGE IN THE LIVED ENVIRONMENT OF THE UNITED ARAB EMIRATES AND THE GULF REGION

2017 ◽  
Vol 11 (2) ◽  
pp. 55 ◽  
Author(s):  
Joseph John Hobbs
Keyword(s):  
Built Environment ◽  
United Arab Emirates ◽  
Architectural Design ◽  
Social Sustainability ◽  
Gulf Region ◽  
Planning And Design ◽  
Spatial Features ◽  
Gulf Countries ◽  
The Social ◽  
Islamic Values

This paper examines how the architectural, social, and cultural heritage of the United Arab Emirates and other Gulf countries may contribute to better development of this region’s lived environment. Modern urbanism has largely neglected heritage in architectural design and in social and private spaces, creating inauthentic places that foster a hunger for belongingness in the UAE’s built environment. The paper reviews recent urban developments in the UAE and the Gulf Region, and identifies elements of local heritage that can be incorporated into contemporary planning and design. It proposes that adapting vernacular architectural heritage to the modern built environment should not be the principal goal for heritage-informed design. Instead we may examine the social processes underlying the traditional lived environment, and aim for social sustainability based on the lifeways and preferences of local peoples, especially in kinship and Islamic values. Among the most promising precedents for modern social sustainability are social and spatial features at the scale of the neighborhood in traditional Islamic settlements. Interviews with local Emiratis will also recommend elements of traditional knowledge to modern settings. 

scholarly journals The Role of Pharmacists in General Practice in Asthma Management: A Pilot Study

Pharmacy ◽  
2018 ◽  
Vol 6 (4) ◽  
pp. 114 ◽  
Author(s):  
Louise Deeks ◽  
Sam Kosari ◽  
Katja Boom ◽  
Gregory Peterson ◽  
Aaron Maina ◽  
...  
Keyword(s):  
General Practice ◽  
Pilot Study ◽  
Asthma Control ◽  
Action Plan ◽  
Asthma Management ◽  
Asthma Control Test ◽  
Appropriate Prescribing ◽  
Device Use ◽  
Practice Methods

Background: Asthma is principally managed in general practice. Appropriate prescribing and medication use are essential, so general practice pharmacists appear suitable to conduct asthma management consultations. This pilot study aimed to evaluate the asthma management role of a pharmacist in general practice. Methods: Analysis of an activity diary and stakeholder interviews were conducted to identify interventions in asthma management; determine whether asthma control changed following pharmacist input; and determine acceptability of asthma management review by a pharmacist in one general practice in Canberra, Australia. Results: Over 13 months, the pharmacist saw 136 individual patients. The most common activities were asthma control assessment; recommendations to adjust medication or device; counselling on correct device use; asthma action plan development and trigger avoidance. For patients with multiple consultations, the mean Asthma Control Test score improved from the initial to last visit (14.4 ± 5.2 vs. 19.3 ± 4.7, n = 23, p < 0.0001). Eight of the 19 (42%) patients moved from having poor to well-controlled asthma. Case studies and qualitative data indicated probable hospital admission avoidance and stakeholder acceptability of asthma management by a practice pharmacist. Conclusions: This pilot study demonstrated it is feasible, acceptable and potentially beneficial to have a general practice pharmacist involved in asthma management. Fuller evaluation is warranted.

Examination of Barriers to Medication Adherence, Asthma Management, and Control Among Community Pharmacy Patients With Asthma

2019 ◽  
pp. 089719001984011
Author(s):  
Tatiana Makhinova ◽  
Jamie C. Barner ◽  
Carolyn M. Brown ◽  
Kristin M. Richards ◽  
Karen L. Rascati ◽  
...  
Keyword(s):  
Medication Adherence ◽  
Community Pharmacy ◽  
Asthma Control ◽  
Action Plan ◽  
Asthma Management ◽  
Persistent Asthma ◽  
Poor Adherence ◽  
Convenience Sample ◽  
Study Objective ◽  
Patient Reported

Objective: To describe the prevalence of common barriers to asthma medication adherence and examine associations between patient-reported asthma controller adherence and asthma control, therapy adherence barriers, and asthma management characteristics. Methods: Previously developed asthma-specific tool was pilot tested on a convenience sample of adult patients with persistent asthma. The following data were collected via patient survey: demographic characteristics and comorbidities, adherence, asthma control, and asthma management characteristics. Descriptive and inferential statistics were used to address the study objective. Results: The patients (N = 93) were 45.4 (17.2) years of age, and 66.7% were female. The majority had poor (68.8%) adherence, with 61.3% of patients having controlled asthma. There was no significant association between adherence and asthma control. The mean number of barriers for good and poor adherence groups differed significantly: 2.0 ± 1.1 and 5.4 ± 2.4, respectively ( P < .0001). Having an asthma action plan (AAP) was the only asthma management characteristic significantly related to adherence. The majority of patients with poor adherence did not have an AAP (76.6%), whereas 81.5% of patients with good adherence did have an AAP ( P < 0.0001). Conclusions: The use of this survey tool confirmed presence of asthma-specific barriers, thus using this specialized approach may lead to more effective, targeted counseling in community pharmacy settings.

scholarly journals Smartphone app for asthma self-management – a literature review of contents and functions

2019 ◽  
Vol 10 (4) ◽  
pp. 3269-3276
Author(s):  
Ghozali MT ◽  
Satibi ◽  
Zullies Ikawati ◽  
Lutfan Lazuardi
Keyword(s):  
Asthma Control ◽  
Action Plan ◽  
Asthma Management ◽  
Self Management ◽  
Smartphone App ◽  
Asthma Control Test ◽  
Quality Health ◽  
The Many ◽  
Air Quality Health Index

A self-management is an important thing in achieving optimum health outcomes. One of the many effective ways that help improve the outcomes of self-management in asthma is through the use of smartphone applications or popularly known as apps. The apps have been designed to help patients in controlling asthma complaints. This study aimed to examine contents and functions featured in the reviewed studies as well as to suggest what functions and contents should be featured in an asthma self-management smartphone app. This study used a systematic approach to examine and review the contents and functions of asthma management apps from selected studies. Inclusion criteria of the study included studies related to the use of asthma control or asthma self-management apps, providing information about contents and features of asthma apps, apps in the reviewed studies designed for laypersons or patients, studies published in peer-reviewed scientific journals in English, and original articles. All the studies had been taken from 2013 to 2018 from three databases, namely Pubmed, Science Direct, and ProQuest. Exclusion criteria included full text unable to be accessed and unable to obtain complete full statistical data. Results of this study showed that the most popular functions and contents featured in the asthma apps involved asthma education, medication use monitor, medication reminder, asthma control test, peak flow meter, asthma symptom monitor, and asthma action plan. Less popular functions and contents included a chat with others, Air Quality Health Index, and Quality of Life Questionnaires. 

scholarly journals The Electronic Asthma Management System (eAMS) improves primary care asthma management

2019 ◽  
Vol 53 (4) ◽  
pp. 1802241 ◽  
Author(s):  
Samir Gupta ◽  
Courtney Price ◽  
Gina Agarwal ◽  
David Chan ◽  
Sanjeev Goel ◽  
...  
Keyword(s):  
Primary Care ◽  
Time Series ◽  
Decision Support ◽  
Asthma Control ◽  
Management System ◽  
Action Plan ◽  
Asthma Management ◽  
Patient Questionnaire ◽  
Absolute Increase ◽  
Physician Visits

A high prevalence of suboptimal asthma control is attributable to known evidence–practice gaps. We developed a computerised clinical decision support system (the Electronic Asthma Management System (eAMS)) to address major care gaps and sought to measure its impact on care in adults with asthma.This was a 2-year interrupted time-series study of usual care (year 1)versuseAMS (year 2) at three Canadian primary care sites. We included asthma patients aged ≥16 years receiving an asthma medication within the last 12 months. The eAMS consisted of a touch tablet patient questionnaire completed in the waiting room, with real-time data processing producing electronic medical record-integrated clinician decision support.Action plan delivery (primary outcome) improved from zero out of 412 (0%) to 79 out of 443 (17.8%) eligible patients (absolute increase 0.18 (95% CI 0.14–0.22)). Time-series analysis indicated a 30.5% increase in physician visits with action plan delivery with the intervention (p<0.0001). Assessment of asthma control level increased from 173 out of 3497 (4.9%) to 849 out of 3062 (27.7%) eligible visits (adjusted OR 8.62 (95% CI 5.14–12.45)). Clinicians escalated controller therapy in 108 out of 3422 (3.2%) baseline visitsversus126 out of 3240 (3.9%) intervention visits (p=0.12). At baseline, a short-acting β-agonist alone was added in 62 visits and a controller added in 54 visits; with the intervention, this occurred in 33 and 229 visits, respectively (p<0.001).The eAMS improved asthma quality of care in real-world primary care settings. Strategies to further increase clinician uptake and a randomised controlled trial to assess impact on patient outcomes are now required.

Acceptability of applying asthma action plan for asthma patients at a hospital in Hochiminh City, Vietnam: an implementation research

2021 ◽  
Vol 05 (04) ◽  
pp. 89-98
Author(s):  
Thi Kim Anh Le ◽  
◽  
Thi My Linh Nguyen
Keyword(s):  
Asthma Control ◽  
Implementation Research ◽  
Action Plan ◽  
Phase 1 ◽  
Asthma Management ◽  
Implementation Strategies ◽  
Management Units ◽  
Implementation Phase ◽  
Asthma Patients ◽  
Asthma Action Plan

Objectives: The asthma management strategy at respiratory departments in Vietnam so far does not include the implementation of an asthma action plan (AAP). This study aimed to implement an AAP in the hospital and analyze the acceptability for the implementation procedures of patients, clinicians and asthma management units. Methods: The implementation consisted of 2 phases. Phase 1 was a cross-sectional design that combined quantitative and qualitative methods to assess the asthma control and analyse potential obstacles of the hospital for AAP implementation. Phase 2 was a pre-experimental design to assess the acceptability in implementing the APP. Asthma control was assessed by GINA’s criteria. Implementation strategies included interventions at both organization (issued a procedure and a guideline of consulting the AAP for patients) and individual levels (trained doctors in counseling and monitoring of AAP for patients; provided instruction leaflets of APP for patients). Results: The proportion of asthma sufficient control was 59%, partial control was 30.8%, and insufficient control was 10.2%. Most of obstacles related to asthma management and control were of health facility, such as no concrete procedures in monitoring, insufficiency of infrastructure, overload of patients. Implementation strategies of AAP in this study got the acceptability of patients, clinicians and asthma management units. Conclusion: The study showed the importance of deployment of AAP for asthma patients in Vietnam hospitals. It is essential to provide more staffs for the asthma and COPD management units, especially trained nurses. Keywords: Asthma Action Plan; implementation research; Vietnam, acceptability; asthma control.

scholarly journals Jurassic Sequence Stratigraphy of the Western and Southern Arabian Gulf

GeoArabia ◽  
1997 ◽  
Vol 2 (4) ◽  
pp. 361-382 ◽  
Author(s):  
Moujahed I. Al-Husseini
Keyword(s):  
United Arab Emirates ◽  
Arabian Gulf ◽  
Lower Jurassic ◽  
Gulf Region ◽  
Third Order ◽  
Sequence Stratigraphic ◽  
Arabian Gulf Region ◽  
Gulf Countries ◽  
Sulaiy Formation ◽  
Jurassic Sequence

ABSTRACT The Jurassic sequence stratigraphic scheme for Central Saudi Arabia is extrapolated to the formations of the western and southern Arabian Gulf region resulting in a tentative chronostratigraphic framework. The framework is tentaively constrained as follows: (1) Upper Triassic-?Lower Jurassic continental clastics (Minjur and equivalents) and the subsequent pre-Toarcian unconformity indicate regional erosion and non-deposition over the Arabian platform. (2) A Toarcian sequence (Marrat and equivalents) provides a basal Jurassic regional datum, except in Oman. (3) The late Toarcian and Aalenian correspond to a substantial sea- level lowstand and a regional depositional hiatus. (4) The Middle Jurassic Dhruma Formation corresponds to four different sequences with a major intervening hiatus. The Upper Dhruma Member, together with the Tuwaiq Mountain form the topmost sequence. The correlation between the Dhruma, Tuwaiq Mountain, Hanifa and Jubaila formations, to their equivalents in other Arabian Gulf countries, requires clearer definitions. (5) The Arab and Hith Anhydrite formations are Tithonian based on their sequence assignment, while the Sulaiy Formation is Berriasian and straddles the Jurassic-Cretaceous boundary. (6) The four Tithonian Arab carbonates may have been deposited as transgressive and early highstand deposits. The Tithonian Arab, Gotnia and Hith anhydrites may be late highstand deposits which overstep inland “salinas” (Gotnia and western Rub’ Al-Khali). Each carbonate and overlying anhydrite sequence appear to correspond to a complete third-order cycle. (7) The equivalents to the Kimmeridgian Jubaila Formation and Tithonian Arab carbonates are absent by non-deposition in Kuwait. In Oman, the Arab and Hith Anhydrite formations are absent by erosion. (8) The Tithonian Hith Anhydrite provides a final Jurassic regional, stratigraphic datum, except in Oman and eastern United Arab Emirates.

Determinants of Corporate Risk Disclosure Practice: The Case of Islamic Banks in Gulf Cooperation Council Region

2018 ◽  
Vol 15 (1) ◽  
pp. 16-38 ◽  
Author(s):  
Samir Srairi
Keyword(s):  
United Arab Emirates ◽  
Composite Index ◽  
Gulf Cooperation Council ◽  
Risk Information ◽  
Rate Of Return ◽  
Islamic Banks ◽  
Risk Disclosure ◽  
Gulf Region ◽  
Corporate Risk ◽  
Level Of Risk

The paper develops a framework to explore the risk disclosure practices of 29 Islamic banks operating in the Gulf Cooperation Council countries over the period of 2013-2016 and examines the potential factors which might be affecting risk disclosure. To analyze the level of risk disclosure, the paper develops a composite index by using the content analysis technique. We also employ OLS technique to examine factors affecting Islamic banks’ risk disclosure. The results indicate a very high difference in risk disclosure between countries. Only two countries, the United Arab Emirates and Bahrain, have a higher level of risk disclosure. The findings also suggest that reporting on some risk disclosure types especially displaced commercial risk and rate of return risk is very low. The regression results show that Islamic banks with a stronger set of corporate governance mechanisms and an active Shariah board appear to disclose more risk information. Other factors that influence risk disclosure practices of Islamic banks are bank size, leverage, cross-border listings and the level of political and civil regression. The study recommends that Islamic banks have to revise their communication strategies and provide more risk information related to rate of return risk and display commercial risk. In addition, GCC regulators should establish risk disclosure regulations which have to become mandatory for all Islamic banks. To the best of our knowledge, the paper provides the first analysis related to the determinants of corporate risk disclosures of Islamic banks in the Arab Gulf region.

The United Arab Emirates: Statehood and Nation-Building in a Traditional Society

2005 ◽  
Vol 59 (3) ◽  
pp. 357-375 ◽  
Author(s):  
Frauke Heard-Bey
Keyword(s):  
Economic Development ◽  
United Arab Emirates ◽  
Nation Building ◽  
Abu Dhabi ◽  
Traditional Society ◽  
National State ◽  
Gulf Countries ◽  
The Individual

Nationals represent barely 20% of the population in the United Arab Emirates, but form the economically and socially privileged group of UAE citizens. The Rulers of the seven emirates were able to retain the historical loyalty of the “Emiratis” by advancing the economic development of the individual states, while Abu Dhabi-financed federal development helped to create a viable national state. Democratization is not of the same urgency as in some neighboring Gulf countries.

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